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Self-knowledge leads you to a state of peace that comes from your understanding of who you are and what that means Prayer, as noted, is only one tool for self-discovery A centering practice, such as meditation and other disciplines associated with eastern philosophies and religion, is another This is no more and no less than paying attention in a particular way: on purpose, with intention, in the present moment, nonjudgmentally Some people describe it as making your mind quiet ; more accurately, it s a technique for finding the quiet that is already there All men s miseries, the French philosopher Pascal once wrote, derive from not being able to sit quietly in a room alone The pressures of life, the sometimes terrifying ups and downs of our family relationships, and the demands of our work pull us apart Quiet and solitude help us put ourselves back together.

Today s street rod pays tribute to the hot rods of yesteryear only in outward appearances A 1934 Ford chassis is not the frame on which a 1934 Ford coupe street rod is built Only the newest, most advanced components are used Today s rod starts with a concept, something in the future owner s mind For example, he or she may want a car reminiscent of a 37 Ford coach Once the builder knows what the owner wants, then it s time for the builder to start asking specific questions, such as: How should it be suspended axles or independent suspension components How big should the front wheels and tires be The rear wheels and tires Tires, wheels, and suspension.

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Centering practices let us sit quietly in a room alone They help us quiet the din, and put ourselves back together If you want to learn more, I recommend Jon Kabat-Zinn s Wherever You Go, There You Are, Fr Thomas Keating s Open Mind, Open Heart, and Thich Nhat Hanh s The Miracle of Mindfulness Keeping a journal a daily analysis and evaluation of your experiences is an excellent way to reflect upon your life and discover.

liorating the weakness but they entail special risks in immunocompromised patients The clinical and pathologic features of the ZVD-induced myopathy are much the same as those of HIV myopathy except that moderate pain is said to be characteristic of the drug-induced variety The myopathy has been attributed to the mitochondrial toxicity of the drug, which may account for the presence of ragged red bers in biopsy specimens The onset of symptoms appears to be related to the sustained administration of high doses of the drug (1200 mg daily for a year or longer) Cessation or reduction in dosage of the drug diminishes the muscular discomfort within weeks, but strength recovers more slowly A myopathy due to human T-cell leukemia virus (HTLV-I) infection also simulates polymyositis in its clinical and histologic features.

The illness occurs most often in endemic areas but is less common than the myelopathy that is associated with the virus (page 1059) To be distinguished from the HIV- and ZVD-related in ammatory myopathies is the severe generalized muscle wasting that characterizes advanced AIDS Muscle enzymes are normal and strength is little affected, considering the loss of muscle bulk Histologically, there is atrophy of type 2 bers The pathogenesis of this cachectic syndrome is uncertain; it has been attributed to a multiplicity of systemic factors, including circulating catabolic cytokines Other Viral Myopathies In most patients with pleurodynia (epidemic myalgia, Bornholm disease), muscle biopsies disclose no abnormalities and there is no clear explanation of the pain However, group B Coxsackie virus has been isolated from striated muscle of patients with this disorder.

Also, a necrotizing myositis has been suspected in a number of patients with in uenza; under the electron microscope some muscle bers have been reported to contain structures with the features of in uenza virions Malaise, myalgia, and slight weakness and stiffness were the clinical manifestations Because of the myalgia, it is dif cult to know how much of the weakness is only apparent Recovery has been complete within a few weeks In one patient with generalized myalgia and myoglobinuria, the in uenza virus was isolated from muscle (Gamboa et al) These observations suggest that the intense muscle pain in certain viral illnesses might be due to a direct viral infection of muscle.

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